Cvs Pharmacy # 05403

LBN: Garfield Beach Cvs, L.L.C.
Cvs Pharmacy # 05403 is an health care organization with primary practice located at 1175 W Lathrop Rd , Manteca CA 95336-8326. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Garfield Beach Cvs, L.L.C. can be contacted via phone (209) 825-4685, or through Colbert, Susan via phone (401) 765-1500.

Contact Information

Primary practice address
1175 W Lathrop Rd Manteca CA 95336-8326
Phone: (209) 825-4685
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colbert, Susan
Phone: (401) 765-1500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PHY50059 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1215167242
LBN Legal business name Garfield Beach Cvs, L.L.C.
DBA Doing business as Cvs Pharmacy # 05403
Authorized official Colbert, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2009
Last updated May 4th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215167242 NPPES
Other 5635151 NCPDP - OTHER COMMERCIAL IDENTIFIER
MEDICAID 1215167242 NCPDP - OTHER COMMERCIAL IDENTIFIER

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